Title Runx2 (Runt-Related Transcription Factor 2)-Mediated Microcalcification Is a Novel Pathological Characteristic and Potential Mediator of Abdominal Aortic Aneurysm
Authors Li, Zhiqing
Zhao, Zuoquan
Cai, Zeyu
Sun, Yong
Li, Li
Yao, Fang
Yang, Liu
Zhou, Yuan
Zhu, Haibo
Fu, Yi
Wang, Li
Fang, Wei
Chen, Yabing
Kong, Wei
Affiliation Peking Univ, Key Lab Mol Cardiovasc Sci, Dept Physiol & Pathophysiol, Sch Basic Med Sci,Minist Educ, Beijing, Peoples R China
Chinese Acad Med Sci & Peking Union Med Coll, Dept Nucl Med, Fuwai Hosp, Natl Ctr Cardiovasc Dis, Beijing 100037, Peoples R China
Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Dept Pathol, Natl Ctr Cardiovasc Dis,Fuwai Hosp, Beijing, Peoples R China
Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Fuwai Hosp, Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Bioact Subst & Funct Nat Med, Beijing Key Lab New Drug Mech & Pharmacol Evaluat, Inst Mat Med, Beijing, Peoples R China
Univ Alabama Birmingham, Dept Pathol, 1825 Univ Blvd,614 Shelby Biomed Res Bldg, Birmingham, AL 35294 USA
Peking Univ, Sch Basic Med Sci, Dept Biomed Informat, Beijing, Peoples R China
Keywords BEAM COMPUTED-TOMOGRAPHY
SMOOTH-MUSCLE-CELL
II-INFUSED MICE
CALCIUM-PHOSPHATE
CALCIFICATION
INFLAMMATION
MACROPHAGES
ATHEROSCLEROSIS
RUPTURE
VOLUME
Issue Date May-2020
Publisher ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY
Abstract Objective: Abdominal aortic aneurysms (AAAs) are highly lethal diseases without effective clinical predictors and therapeutic targets. Vascular microcalcification, as detected by fluorine-18-sodium fluoride, has recently been recognized as a valuable indicator in predicting atherosclerotic plaque rupture and AAA expansion. However, whether vascular microcalcification involved in the pathogenesis of AAA remains elusive. Approach and Results: Microcalcification was analyzed in human aneurysmal aortas histologically and in AngII (angiotensin II)-infused ApoE(-/-) mouse aortas by fluorine-18-sodium fluoride positron emission tomography and X-ray computed tomography scanning in chronological order in live animals. AAA patients' aortic tissue showed markedly enhanced microcalcification in the aortic media within the area proximal to elastic fiber degradation, compared with non-AAA patients. Enhanced fluorine-18-sodium fluoride uptake preceded significant aortic expansion in mice. Microcalcification-positive mice on day 7 of AngII infusion showed dramatic aortic expansion on subsequent days 14 to 28, whereas microcalcification-negative AngII-infused mice and saline-induced mice did not develop AAA. The application of hydroxyapatite, the main component of microcalcification, aggravated AngII-induced AAA formation in vivo. RNA-sequencing analysis of the suprarenal aortas of 4-day-AngII-infused ApoE(-/-) mice and bioinformatics analysis with ChIP-Atlas database identified the potential involvement of the osteogenic transcriptional factor Runx2 (runt-related transcription factor 2) in AAA. Consistently, vascular smooth muscle cell-specific Runx2 deficiency markedly repressed AngII-induced AAA formation in the ApoE(-/-) mice compared with the control littermates. Conclusions: Our studies have revealed microcalcification as a novel pathological characteristic and potential mediator of AAA, and targeting microcalcification may represent a promising strategy for AAA prevention and treatment.
URI http://hdl.handle.net/20.500.11897/588626
ISSN 1079-5642
DOI 10.1161/ATVBAHA.119.314113
Indexed SCI(E)
Scopus
Appears in Collections: 分子心血管学教育部重点实验室
基础医学院

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